Each of the 50 states and the District of Columbia provide tobacco quitlines, a phone number for quit smoking phone counseling. The median amount states invest in quitlines is $2.21 per smoker in the state.

Massachusetts passed legislation increasing its minimum sales age for tobacco products to 21 in 2018.

Six states, the District of Columbia and over 350 communities have passed Tobacco 21 laws.

Nationwide, the Medicaid program spends more than $39.6 billion in healthcare costs for smoking-related diseases each year – more than 15.2 percent of total Medicaid spending.

In 2009, the American Lung Association played a key role in the passage of the Family Smoking Prevention and Tobacco Control Act, which gives the U.S. Food and Drug Administration authority over tobacco products.

The American Lung Association played a key role in airplanes becoming smokefree in the 1990s.

43 states and the District of Columbia spend less than half of what the CDC recommends on their state tobacco prevention programs.

States spend less than three cents of every dollar of the $27.3 billion they get from tobacco settlement payments and tobacco taxes to fight tobacco use.

Each day, more than 2,000 kids under 18 try their first cigarette and more than 300 kids become new, regular smokers.

Each day, more than 1,900 kids try their first cigar. On average, more than 80 kids try their first cigar every hour in the United States – equaling about 712,000 every year.

Smoking costs the U.S. economy over $332 billion in direct health care costs and lost productivity every year.

The five largest cigarette companies spent over $23 million dollars per day marketing their products in 2016.

Secondhand smoke causes $5.6 billion in lost productivity in the U.S. each year.

Smoking rates are over twice as high for Medicaid recipients compared to those with private insurance.

A 2013 study of California's tobacco prevention program shows that the state saved $55 in healthcare costs for every $1 invested from 1989 to 2008.

A 2017 study found that states which expanded Medicaid had a 36 percent increase in the number of tobacco cessation medication prescriptions relative to the states that did not expand Medicaid. This means more quit attempts with proven cessation treatments are being made.

In 2018, three states, Idaho, Nebraska and Utah, voted to expand their Medicaid coverage, providing more smokers with access to tobacco cessation treatments.

Uninsured Americans smoke at a rate more than two times higher than people with private insurance.

An estimated one-third of Americans living in public housing smoke.

Persons with mental illness consume close to 40 percent of all cigarettes in the U.S.

Native Americans and Alaska Natives have the highest smoking rates among any racial/ethnic group.